Individual
DR. CRAIG ALLEN KORNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7207 GOLDEN WINGS ROAD, JACKSONVILLE, FL 32244
(904) 389-1010
(904) 389-1082
Mailing address
7207 GOLDEN WINGS ROAD, JACKSONVILLE, FL 32244-2004
(904) 389-1010
(904) 389-1082
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
ME82614
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01896
BLUE CROSS BLUE SHIELD
FL
01
—
217227
HEALTHEASE
FL
05
—
26192880
—
FL
01
—
3046289
AETNA
FL
01
—
5849952001
CIGNA
FL
Enumeration date
06/30/2005
Last updated
02/24/2017
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